Neonatal cervical spinal cord injury occurring in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre- labour presentation has been des cribed. We report a second such case, but with important diagnostic differences and outcome. Conclusion: This case showed loss of foetal movements late in the t hird trimester. This was secondary to an extensive cervical lesion with no histo ry of trauma. This emphasizes the need to consider cervical cord lesions when fo etal or postnatal movements are reduced, even in the absence of trauma. Neonatal cervical spinal injury injury in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre- labor presentation has been des cribed. We report a second such case, This was shown to loss of foetal movements late in the t hird trimester. This was secondary to an extensive cervical lesion with no histo ry of trauma. This emphasizes the need to consider cervical cord lesions when fo etal or postnatal movements are reduced, even in the absence of trauma.